Dysgraphia is a specific learning disorder (SLD) characterised by persistent difficulties with written expression, including handwriting, spelling, and the organisation and expression of ideas in written form. Under the DSM-5-TR, dysgraphia is formally classified as Specific Learning Disorder with Impairment in Written Expression (SLD-Written Expression). It is neurological in origin and is not a reflection of intelligence or effort.
Written expression difficulty in dysgraphia can affect both the mechanical aspects of writing – such as letter formation, spacing, and handwriting speed – and the higher-level aspects of writing, such as organising ideas, constructing sentences, and producing coherent written work. Without appropriate identification and intervention, these difficulties can persist and affect academic performance across all subject areas.
Following a diagnosis of dysgraphia, it is important to put appropriate intervention and support in place. Intervention for dysgraphia may target the mechanical aspects of writing, the organisational and expressive aspects, or both, depending on the profile identified in the assessment.
The assessment report from Dr Melissa Rouel can be shared with a child’s school to support access to reasonable adjustments, such as the use of a keyboard or speech-to-text technology, additional time in assessments, or a modified writing support plan. For adults, the report can support access to adjustments in tertiary education or the workplace, or be used to apply for NDIS funding where appropriate.
Where relevant, Dr Melissa Rouel can recommend referral to an occupational therapist, speech pathologist, or other allied health professional in the Western Sydney area.
A dysgraphia assessment may be appropriate for:
A neuropsychological assessment is used to identify dysgraphia and to understand the specific nature of a child’s written expression difficulty. Dr Melissa Rouel conducts comprehensive dysgraphia assessments for children, adolescents, and adults. A dysgraphia assessment typically includes:
Following the assessment, a written report is provided. The report outlines the findings, identifies any SLD diagnosis, and includes recommendations for intervention and support at home, school, or in the workplace. A feedback appointment will also be scheduled to discuss these results.
Not necessarily. While difficulty with handwriting is a common feature of dysgraphia, the condition can also affect spelling, the organisation of ideas, and the ability to produce coherent written work. A neuropsychological assessment with Dr Melissa Rouel can determine whether written expression difficulty is consistent with a diagnosis of dysgraphia and identify the most appropriate supports.
Yes. Dysgraphia frequently co-occurs with dyslexia, dyscalculia, and ADHD. It can also be associated with developmental coordination disorder (DCD). Dr Melissa Rouel's assessments screen for co-occurring conditions to ensure the full profile of a child's needs is identified and addressed.
A formal assessment report from Dr Melissa Rouel can be provided to your child's school to support access to assistive technology, including the use of a keyboard or speech-to-text software. The report can also support access arrangements in external examinations. Dr Melissa Rouel serves families across Castle Hill, Parramatta, Blacktown, Fairfield, and Kellyville.
Intervention for dysgraphia is tailored to the individual's profile and may include strategies to support written expression and organisation, handwriting programs, and assistive technology. The assessment report from Dr Melissa Rouel will outline specific intervention recommendations, which may include referral to an occupational therapist or speech pathologist.
A dysgraphia assessment with Dr Melissa Rouel typically involves one session of approximately four hours. A written report and verbal feedback are provided following the assessment. To make an enquiry, please visit neuropsy.com.au/contact.
Dr Melissa Rouel provides dysgraphia assessments for children, adolescents, and adults. She sees clients from across Western Sydney and the Hills District including: Castle Hill and the Hills District, Parramatta and surrounding suburbs, Blacktown and Mount Druitt areas, Fairfield and South-Western Sydney, Kellyville, Rouse Hill, and Norwest. Telehealth options may be available for some parts of the assessment process. Please contact Dr Melissa Rouel to discuss whether this is suitable for your circumstances.